MICHELLE BECKERLY DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****81

License Status

ACTIVE

Business

First Name

MICHELLE

Last Name

BECKERLY

Suffix

DMD

Business Name

MICHELLE BECKERLY DMD

Original Issue Date

07/12/2011

Effective Date

09/17/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60630

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/17/2024